Home
About Us
Search
中文

Top Menu

Hockhua Tonic

Quality health products at affortable price and good services

Products
Promotions
Health Tips
Videos
Product Gallery
Stores Locator
Contact Us

Search:

Products
Promotions
Health Tips
Videos
Product Gallery
Stores Locator
Contact Us

Tag Archives: herbal

You are here:

Home
Entries tagged with "herbal"

Do you know that there are different kinds of Herbal Tea

Herbal TeaBy hockhua September 2, 2026

It is a long established fact that a reader will be distracted by the readable content of a page when looking at its layout.

Proudly created by Full House Communications

Site Map
Privacy Policy

Bottom Menu Eng

Go to Top

Hockhua Bird's Nest 福华燕窝

Estore Member Update

Update of Personal Particulars

VIP No

Name as in NRIC in Capital Letters*

NRIC/FIN/Passport (last 4 digits)*

e.g. NRIC No is S1234567B, last 4 digits should be 567B

Gender MaleFemale

Race ChineseMalayIndianOthers

Date of Birth*

Nationality

Address

Country

Postal Code

Contact Number *

Remark

* Mandatory fields

By clicking SUBMIT, you agree to our collection, use and/or disclosure of your personal data
to the extent necessary to process your order and provide you with this product.

I confirm that the above information provided is true and correct.

{"id":"12","label":"E store member update","active":"1","original_id":"4","unique_id":"vbn23a","params":{"enableForMembership":"0","tpl":{"width":"100","width_measure":"%","bg_type_0":"none","bg_img_0":"","bg_color_0":"#cdcdcd","bg_type_1":"color","bg_img_1":"","bg_color_1":"#cdcdcd","bg_type_2":"color","bg_img_2":"","bg_color_2":"#09c425","bg_type_3":"color","bg_img_3":"","bg_color_3":"#ff807c","field_error_invalid":"","form_sent_msg":"Thank you for contacting us!","form_sent_msg_color":"#000000","hide_on_submit":"1","redirect_on_submit":"","test_email":"webmaster@fullhouse.com.sg","save_contacts":"1","exp_delim":";","fb_convert_base":"","field_wrapper":"<div [field_shell_classes] [field_shell_styles]>[field]<\/div>"},"fields":[{"bs_class_id":"12","value":"<div class=\"uptou_logo\" style=\"float:right;\"><img src=\"https:\/\/hockhuatonic.fullhouse.com.sg\/wp-content\/uploads\/2020\/02\/logo.jpg\" alt=\"uptou_logo\" width=\"200\" height=\"67\" class=\"alignnone size-full wp-image-36281\" \/> <img src=\"https:\/\/hockhuatonic.fullhouse.com.sg\/wp-content\/uploads\/2019\/11\/UptoU_logo.jpg\"><\/div>","html":"htmldelim","mandatory":"0"},{"bs_class_id":"12","value":"<h4>Update of Personal Particulars <\/h4>","html":"htmldelim","mandatory":"0"},{"bs_class_id":"12","value":"<div style=\"height:30px\"><\/div>","html":"htmldelim","mandatory":"0"},{"bs_class_id":"12","name":"vip","label":"VIP No","placeholder":"","value":"","value_preset":"","html":"text","mandatory":"0","min_size":"","max_size":"","add_classes":"","add_styles":"","add_attr":"","vn_only_number":"0","vn_only_letters":"0","vn_pattern":"","vn_equal":"","icon_class":"","icon_size":"","icon_color":"","terms":""},{"bs_class_id":"6","name":"name","label":"Name as in NRIC in Capital Letters*","placeholder":"","value":"","value_preset":"","html":"text","mandatory":"1","min_size":"","max_size":"","add_classes":"","add_styles":"","add_attr":"","vn_only_number":"0","vn_only_letters":"0","vn_pattern":"0","vn_equal":"","icon_class":"","icon_size":"","icon_color":"","terms":""},{"bs_class_id":"6","name":"nric","label":"NRIC\/FIN\/Passport (last 4 digits)*","placeholder":"e.g. NRIC No is S1234567B, last 4 digits should be 567B","value":"","value_preset":"","html":"text","mandatory":"1","min_size":"","max_size":"","add_classes":"","add_styles":"","add_attr":"","vn_only_number":"0","vn_only_letters":"0","vn_pattern":"","vn_equal":"","icon_class":"","icon_size":"","icon_color":"","terms":""},{"bs_class_id":"6","value":"","html":"htmldelim","mandatory":"0"},{"bs_class_id":"6","value":"<div class=\"nric\">e.g. NRIC No is S1234567B, last 4 digits should be 567B<\/div>\r\n","html":"htmldelim","mandatory":"0"},{"bs_class_id":"6","name":"gender","label":"Gender","value":"","value_preset":"","html":"radiobuttons","mandatory":"0","label_delim":"","display":"row","add_classes":"","add_styles":"","add_attr":"","icon_class":"","icon_size":"","icon_color":"","terms":"","options":[{"name":"Male","label":"Male"},{"name":"Female","label":"Female"}]},{"bs_class_id":"6","name":"race","label":"Race","value":"","value_preset":"","html":"radiobuttons","mandatory":"0","label_delim":"","display":"row","add_classes":"","add_styles":"","add_attr":"","icon_class":"","icon_size":"","icon_color":"","terms":"","options":[{"name":"Chinese","label":"Chinese"},{"name":"Malay ","label":"Malay"},{"name":"Indian","label":"Indian"},{"name":"Others","label":"Others"}]},{"bs_class_id":"6","name":"birth","label":"Date of Birth*","placeholder":"","value":"","value_preset":"","html":"date","mandatory":"1","min_size":"","max_size":"","add_classes":"","add_styles":"","add_attr":"","vn_only_number":"0","vn_only_letters":"0","vn_pattern":"","vn_equal":"","icon_class":"","icon_size":"","icon_color":"","terms":""},{"bs_class_id":"6","name":"Nationality","label":"Nationality","placeholder":"","value":"","value_preset":"","html":"text","mandatory":"0","min_size":"","max_size":"","add_classes":"","add_styles":"","add_attr":"","vn_only_number":"0","vn_only_letters":"0","vn_pattern":"","vn_equal":"","icon_class":"","icon_size":"","icon_color":"","terms":""},{"bs_class_id":"12","name":"address","label":"Address","placeholder":"","value":"","value_preset":"","html":"text","mandatory":"0","min_size":"","max_size":"","add_classes":"","add_styles":"","add_attr":"","vn_only_number":"0","vn_only_letters":"0","vn_pattern":"","vn_equal":"","icon_class":"","icon_size":"","icon_color":"","terms":""},{"bs_class_id":"6","name":"country","label":"Country","value":"","value_preset":"","html":"countryList","mandatory":"0","label_delim":"","add_classes":"","add_styles":"","add_attr":"","icon_class":"","icon_size":"","icon_color":"","terms":""},{"bs_class_id":"6","name":"postal","label":"Postal Code","placeholder":"","value":"","value_preset":"","html":"text","mandatory":"0","min_size":"","max_size":"","add_classes":"","add_styles":"","add_attr":"","vn_only_number":"0","vn_only_letters":"0","vn_pattern":"","vn_equal":"","icon_class":"","icon_size":"","icon_color":"","terms":""},{"bs_class_id":"6","name":"contact_number","label":"Contact Number *","placeholder":"","value":"","value_preset":"","html":"number","mandatory":"1","min_size":"","max_size":"","add_classes":"","add_styles":"","add_attr":"","vn_only_number":"0","vn_only_letters":"0","vn_pattern":"","vn_equal":"","icon_class":"","icon_size":"","icon_color":"","terms":""},{"bs_class_id":"6","name":"email","label":"Email","placeholder":"","value":"","value_preset":"","html":"email","mandatory":"0","min_size":"","max_size":"","add_classes":"","add_styles":"","add_attr":"","vn_only_number":"0","vn_only_letters":"0","vn_pattern":"","vn_equal":"","icon_class":"","icon_size":"","icon_color":"","terms":""},{"bs_class_id":"12","name":"message","label":"Remark","placeholder":"","value":"","value_preset":"","html":"textarea","mandatory":"0","min_size":"","max_size":"","add_classes":"","add_styles":"","add_attr":"","vn_only_number":"0","vn_only_letters":"0","vn_pattern":"0","vn_equal":"","icon_class":"","icon_size":"","icon_color":"","terms":""},{"bs_class_id":"12","value":"<p>* Mandatory fields<\/p> <br>\r\n\r\n<p>By clicking SUBMIT, you agree to our collection, use and\/or disclosure of your personal data<br> to the extent necessary to process your order and provide you with this product.<\/p>","html":"htmldelim","mandatory":"0"},{"bs_class_id":"12","name":"confirm","label":"I confirm that the above information provided is true and correct.","value":"","value_preset":"","html":"checkbox","def_checked":"0","mandatory":"1","add_classes":"","add_styles":"","add_attr":"","icon_class":"","icon_size":"","icon_color":"","terms":""},{"bs_class_id":"12","value":"<div style=\"height:30px\"><\/div>","html":"htmldelim","mandatory":"0"},{"bs_class_id":"6","name":"send","label":"Submit","html":"submit","add_classes":"","add_styles":"","add_attr":"","icon_class":"","icon_size":"","icon_color":"","terms":""},{"bs_class_id":"6","name":"reset","label":"Reset","html":"reset","add_classes":"","add_styles":"","add_attr":""}],"opts_attrs":{"bg_number":"4"}},"img_preview":"simple-white.png","views":"2821549","unique_views":"1033063","actions":"0","sort_order":"4","is_pro":"0","ab_id":"0","date_created":"2020-02-27 10:14:59","img_preview_url":"https:\/\/supsystic-42d7.kxcdn.com\/_assets\/forms\/img\/preview\/simple-white.png","view_id":"12_133350","view_html_id":"cspFormShell_12_133350","connect_hash":"572ede2cf20acc29b965b75958bb614e"}

Update of Personal Particulars

VIP No*

Name as in NRIC in Capital Letters*

NRIC/FIN/Passport (last 4 digits)*

e.g. NRIC No is S1234567B, last 4 digits should be 567B

Gender MaleFemale

Race ChineseMalayIndianOthers

Date of Birth*

Nationality

Address

Country

Postal Code

Contact Number

Remark

* Mandatory fields

By clicking SUBMIT, you agree to our collection, use and/or disclosure of your personal data
to the extent necessary to process your order and provide you with this product.

I confirm that the above information provided is true and correct.

{"id":"11","label":"Update of Personal Particulars","active":"1","original_id":"4","unique_id":"vbn23a","params":{"enableForMembership":"0","tpl":{"width":"100","width_measure":"%","bg_type_0":"none","bg_img_0":"","bg_color_0":"#cdcdcd","bg_type_1":"color","bg_img_1":"","bg_color_1":"#cdcdcd","bg_type_2":"color","bg_img_2":"","bg_color_2":"#09c425","bg_type_3":"color","bg_img_3":"","bg_color_3":"#ff807c","field_error_invalid":"","form_sent_msg":"Thank you for contacting us!","form_sent_msg_color":"#000000","hide_on_submit":"1","redirect_on_submit":"","test_email":"webmaster@fullhouse.com.sg","save_contacts":"1","exp_delim":";","fb_convert_base":"","field_wrapper":"<div [field_shell_classes] [field_shell_styles]>[field]<\/div>"},"fields":[{"bs_class_id":"12","value":"<div class=\"uptou_logo\"><img src=\"https:\/\/hockhuatonic.fullhouse.com.sg\/wp-content\/uploads\/2019\/11\/UptoU_logo.jpg\" alt=\"uptou_logo\" width=\"150\" height=\"120\" class=\"alignnone size-full wp-image-36281\" \/><\/div>","html":"htmldelim","mandatory":"0"},{"bs_class_id":"12","value":"<div style=\"height:30px\"><\/div>","html":"htmldelim","mandatory":"0"},{"bs_class_id":"12","name":"vip","label":"VIP No*","placeholder":"","value":"","value_preset":"","html":"text","mandatory":"1","min_size":"","max_size":"","add_classes":"","add_styles":"","add_attr":"","vn_only_number":"0","vn_only_letters":"0","vn_pattern":"\\d+","vn_equal":"","icon_class":"","icon_size":"","icon_color":"","terms":""},{"bs_class_id":"6","name":"name","label":"Name as in NRIC in Capital Letters*","placeholder":"","value":"","value_preset":"","html":"text","mandatory":"1","min_size":"","max_size":"","add_classes":"","add_styles":"","add_attr":"","vn_only_number":"0","vn_only_letters":"0","vn_pattern":"0","vn_equal":"","icon_class":"","icon_size":"","icon_color":"","terms":""},{"bs_class_id":"6","name":"nric","label":"NRIC\/FIN\/Passport (last 4 digits)*","placeholder":"e.g. NRIC No is S1234567B, last 4 digits should be 567B","value":"","value_preset":"","html":"text","mandatory":"1","min_size":"","max_size":"","add_classes":"","add_styles":"","add_attr":"","vn_only_number":"0","vn_only_letters":"0","vn_pattern":"","vn_equal":"","icon_class":"","icon_size":"","icon_color":"","terms":""},{"bs_class_id":"6","value":"","html":"htmldelim","mandatory":"0"},{"bs_class_id":"6","value":"<div class=\"nric\">e.g. NRIC No is S1234567B, last 4 digits should be 567B<\/div>\r\n","html":"htmldelim","mandatory":"0"},{"bs_class_id":"6","name":"gender","label":"Gender","value":"","value_preset":"","html":"radiobuttons","mandatory":"0","label_delim":"","display":"row","add_classes":"","add_styles":"","add_attr":"","icon_class":"","icon_size":"","icon_color":"","terms":"","options":[{"name":"Male","label":"Male"},{"name":"Female","label":"Female"}]},{"bs_class_id":"6","name":"race","label":"Race","value":"","value_preset":"","html":"radiobuttons","mandatory":"0","label_delim":"","display":"row","add_classes":"","add_styles":"","add_attr":"","icon_class":"","icon_size":"","icon_color":"","terms":"","options":[{"name":"Chinese","label":"Chinese"},{"name":"Malay ","label":"Malay"},{"name":"Indian","label":"Indian"},{"name":"Others","label":"Others"}]},{"bs_class_id":"6","name":"birth","label":"Date of Birth*","placeholder":"","value":"","value_preset":"","html":"date","mandatory":"1","min_size":"","max_size":"","add_classes":"","add_styles":"","add_attr":"","vn_only_number":"0","vn_only_letters":"0","vn_pattern":"","vn_equal":"","icon_class":"","icon_size":"","icon_color":"","terms":""},{"bs_class_id":"6","name":"Nationality","label":"Nationality","placeholder":"","value":"","value_preset":"","html":"text","mandatory":"0","min_size":"","max_size":"","add_classes":"","add_styles":"","add_attr":"","vn_only_number":"0","vn_only_letters":"0","vn_pattern":"","vn_equal":"","icon_class":"","icon_size":"","icon_color":"","terms":""},{"bs_class_id":"12","name":"address","label":"Address","placeholder":"","value":"","value_preset":"","html":"text","mandatory":"0","min_size":"","max_size":"","add_classes":"","add_styles":"","add_attr":"","vn_only_number":"0","vn_only_letters":"0","vn_pattern":"","vn_equal":"","icon_class":"","icon_size":"","icon_color":"","terms":""},{"bs_class_id":"6","name":"country","label":"Country","value":"","value_preset":"","html":"countryList","mandatory":"0","label_delim":"","add_classes":"","add_styles":"","add_attr":"","icon_class":"","icon_size":"","icon_color":"","terms":""},{"bs_class_id":"6","name":"postal","label":"Postal Code","placeholder":"","value":"","value_preset":"","html":"text","mandatory":"0","min_size":"","max_size":"","add_classes":"","add_styles":"","add_attr":"","vn_only_number":"0","vn_only_letters":"0","vn_pattern":"","vn_equal":"","icon_class":"","icon_size":"","icon_color":"","terms":""},{"bs_class_id":"6","name":"contact_number","label":"Contact Number","placeholder":"","value":"","value_preset":"","html":"number","mandatory":"1","min_size":"","max_size":"","add_classes":"","add_styles":"","add_attr":"","vn_only_number":"0","vn_only_letters":"0","vn_pattern":"","vn_equal":"","icon_class":"","icon_size":"","icon_color":"","terms":""},{"bs_class_id":"6","name":"email","label":"Email","placeholder":"","value":"","value_preset":"","html":"email","mandatory":"0","min_size":"","max_size":"","add_classes":"","add_styles":"","add_attr":"","vn_only_number":"0","vn_only_letters":"0","vn_pattern":"","vn_equal":"","icon_class":"","icon_size":"","icon_color":"","terms":""},{"bs_class_id":"12","name":"message","label":"Remark","placeholder":"","value":"","value_preset":"","html":"textarea","mandatory":"0","min_size":"","max_size":"","add_classes":"","add_styles":"","add_attr":"","vn_only_number":"0","vn_only_letters":"0","vn_pattern":"0","vn_equal":"","icon_class":"","icon_size":"","icon_color":"","terms":""},{"bs_class_id":"12","value":"<p>* Mandatory fields<\/p> <br>\r\n\r\n<p>By clicking SUBMIT, you agree to our collection, use and\/or disclosure of your personal data<br> to the extent necessary to process your order and provide you with this product.<\/p>","html":"htmldelim","mandatory":"0"},{"bs_class_id":"12","name":"confirm","label":"I confirm that the above information provided is true and correct.","value":"","value_preset":"","html":"checkbox","def_checked":"0","mandatory":"1","add_classes":"","add_styles":"","add_attr":"","icon_class":"","icon_size":"","icon_color":"","terms":""},{"bs_class_id":"12","value":"<div style=\"height:30px\"><\/div>","html":"htmldelim","mandatory":"0"},{"bs_class_id":"6","name":"send","label":"Submit","html":"submit","add_classes":"","add_styles":"","add_attr":"","icon_class":"","icon_size":"","icon_color":"","terms":""},{"bs_class_id":"6","name":"reset","label":"Reset","html":"reset","add_classes":"","add_styles":"","add_attr":""}],"opts_attrs":{"bg_number":"4"}},"img_preview":"simple-white.png","views":"3029648","unique_views":"1111549","actions":"12","sort_order":"4","is_pro":"0","ab_id":"0","date_created":"2016-05-03 15:01:03","img_preview_url":"https:\/\/supsystic-42d7.kxcdn.com\/_assets\/forms\/img\/preview\/simple-white.png","view_id":"11_491754","view_html_id":"cspFormShell_11_491754","connect_hash":"41002210672a53e6a5ee969378a66e5c"}